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@helenbevan
Leading for spread, adoption and
large scale change
Source of image: @voinonen
@helenbevan
2
The greatest
danger today is NOT
micro-managing:
it is MACRO-LEADING
Henry Mintzberg
@helenbevan
Beware the chasm!
Source of image: @voinonen
@helenbevan
Beware the chasm!
Source of image: @voinonen
@helenbevan
Over the past 20 years there have been more than 100
NHS-wide pioneer/pathfinder/pilot/demonstration sites
@helenbevan
It’s an issue of power
Power is one’s
ability to achieve
goals
Bertrand Russell
6
@helenbevan
Jeremy Heimens, Henry Timms
This is New Power
old power new power
Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
Current
Made by many
Pulled in
Shared
Open
Relationship
@helenbevan
Connect with the 3%
Just 3% of people in the organisation or
system influence 85% of the other people
Source:
research by
Innovisor
@helenbevan
The 3% rule also appears true for
social media
Source: research by Graham MacKenzie using NodeXL
In health and
healthcare globally,
tweets by 3.3% of
tweeters accounted
for 85% of retweets
@helenbevan
WHO will make the change happen?
List A
• The Delivery Board
• The programme sponsors
• The Programme
Management Office
• The Delivery Board work
streams
• The Clinical Leads
• The Directors of
participating organisations
• The Change Facilitators
Source: adapted by Helen Bevan
from Leandro Herrera
@helenbevan
WHO will make the change happen?
List A
• The Delivery Board
• The programme sponsors
• The Programme
Management Office
• The Delivery Board work
streams
• The Clinical Leads
• The Directors of
participating organisations
• The Change Facilitators
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected who spread
behaviours, role model at a scale,
set mountains on fire and multiply
anything they get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
onesSource: adapted by Helen Bevan
from Leandro Herrera
@helenbevan
WHO will make the change happen?
List A
• The Delivery Board
• The programme sponsors
• The Programme
Management Office
• The Delivery Board work
streams
• The Clinical Leads
• The Directors of
participating organisations
• The Change Facilitators
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected who spread
behaviours, role model at a scale,
set mountains on fire and multiply
anything they get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
ones
Source: adapted by Helen Bevan
from Leandro Herrera
@helenbevan
Do you remember that 3% of people in an
organisation influence 85% of other
people?
Most of them are NOT people on list A
Formal leaders typically make up 12% of an
organisation and drive conversations with
55% of other people
Source: Innovisor
@helenbevan
Mark Jaben on the science behind resistance
What NOT to do
But what we do do
Engage
people here
@helenbevan
Mark Jaben on the science behind resistance to change
What NOT to do
(but what we usually do)
We don’t need buyers (who “buy-in” to change)
We need investors
What TO do
Engage
people here
Engage
people here
@helenbevan
Emerging themes in spread
• Increasing attention to the demand side, to
better understand the adopter’s point of view
• Coalition building (social movements and social
media)
• Increasing attention to system conditions
• Acknowledgement of context sensitivity
• The importance of co-design for subsequent
scaling (investors not buyers)
Source: David Albury

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Leading for spread, adoption and large scale change

  • 1. @helenbevan Leading for spread, adoption and large scale change Source of image: @voinonen
  • 2. @helenbevan 2 The greatest danger today is NOT micro-managing: it is MACRO-LEADING Henry Mintzberg
  • 5. @helenbevan Over the past 20 years there have been more than 100 NHS-wide pioneer/pathfinder/pilot/demonstration sites
  • 6. @helenbevan It’s an issue of power Power is one’s ability to achieve goals Bertrand Russell 6
  • 7. @helenbevan Jeremy Heimens, Henry Timms This is New Power old power new power Currency Held by a few Pushed down Commanded Closed Transaction Current Made by many Pulled in Shared Open Relationship
  • 8. @helenbevan Connect with the 3% Just 3% of people in the organisation or system influence 85% of the other people Source: research by Innovisor
  • 9. @helenbevan The 3% rule also appears true for social media Source: research by Graham MacKenzie using NodeXL In health and healthcare globally, tweets by 3.3% of tweeters accounted for 85% of retweets
  • 10. @helenbevan WHO will make the change happen? List A • The Delivery Board • The programme sponsors • The Programme Management Office • The Delivery Board work streams • The Clinical Leads • The Directors of participating organisations • The Change Facilitators Source: adapted by Helen Bevan from Leandro Herrera
  • 11. @helenbevan WHO will make the change happen? List A • The Delivery Board • The programme sponsors • The Programme Management Office • The Delivery Board work streams • The Clinical Leads • The Directors of participating organisations • The Change Facilitators List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The nonconformists who see things through glasses no one else has • The hyper-connected who spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which onesSource: adapted by Helen Bevan from Leandro Herrera
  • 12. @helenbevan WHO will make the change happen? List A • The Delivery Board • The programme sponsors • The Programme Management Office • The Delivery Board work streams • The Clinical Leads • The Directors of participating organisations • The Change Facilitators List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The nonconformists who see things through glasses no one else has • The hyper-connected who spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which ones Source: adapted by Helen Bevan from Leandro Herrera
  • 13. @helenbevan Do you remember that 3% of people in an organisation influence 85% of other people? Most of them are NOT people on list A Formal leaders typically make up 12% of an organisation and drive conversations with 55% of other people Source: Innovisor
  • 14. @helenbevan Mark Jaben on the science behind resistance What NOT to do But what we do do Engage people here
  • 15. @helenbevan Mark Jaben on the science behind resistance to change What NOT to do (but what we usually do) We don’t need buyers (who “buy-in” to change) We need investors What TO do Engage people here Engage people here
  • 16. @helenbevan Emerging themes in spread • Increasing attention to the demand side, to better understand the adopter’s point of view • Coalition building (social movements and social media) • Increasing attention to system conditions • Acknowledgement of context sensitivity • The importance of co-design for subsequent scaling (investors not buyers) Source: David Albury

Editor's Notes

  • #11: SASHA Experience of working in both worlds Balance between two ways of conceiving change
  • #12: SASHA
  • #13: SASHA